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Regional Support for Territory 11

Provider Relations Representatives are the field based Medicaid Training
Specialists in Texas. They provide education and training on claims submission
for new and existing Medicaid providers. Technical support and training are also
provided for TexMedConnect software users for Medicaid, Long Term Care, Children
with Special HealthCare Needs (CSHCN) Services Program, Medically Dependent
Children’s Program (MDCP), Medical Transportation Program (MTP), Texas Women’s
Health Program (TWHP) and Family Planning Providers.

For information on educational training workshops on claims submission for
new and existing Medicaid providers please visit the
Provider Education
section of this website. The following are descriptions of some of the workshops
TMHP offers throughout the year:

Educational Training Workshop Sessions

Staying informed is one of the most important aspects of
participation in state health-care programs. TMHP recognizes that your
time is valuable and offers a variety of ways to receive provider education.
Live workshops off-site are conducted throughout each year. TMHP’s new education
initiatives include webinars, online training modules (computer based trainings
CBTs) and Radio TMHP podcasts. These trainings can be completed at your own pace
and at a time that is convenient for you. All TMHP training is free. Free
Provider Workshops can help you understand how to get paid for providing needed
services to Medicaid and CSHCN Services Program clients. Participating in
education training sessions can help you stay up-to-date:

Texas Medicaid Basics is a workshop/CBT
designed for providers new to Texas Medicaid or for providers
requesting a Medicaid refresher course. This education session
will provide an overview of the Texas Medicaid program. Topics
include: verify client eligibility and use the client
eligibility data to determine program benefits, navigate the
TMHP website, and enroll and/or credential to provide additional
services.

Texas Medicaid: Beyond the Basics is an
education workshop designed to explain advanced fundamentals of
the Texas Medicaid policies and procedures to the more
experienced provider. This workshop will focus on addressing
topic points important to the more tenured Medicaid provider.
This workshop will provide topics required to identify and
resolve the top 5 provider related Explanation of
Benefits/Explanation of Pending status, file Medicare crossover
claims, and identify mass adjustments.

TexMedConnect is the TMHP application that
provides support and training for transmitting electronic data.
TMHP has a
Computer Based Training (CBT) module that provides detailed
training on installation, claims completion, transmission,
client eligibility/MESAV, appeals/adjustments, claim status and
more.

Provider Visits

You may contact your Provider Relations Representative for one-on-one
provider visits or an in-service in your office. To request, confirm, or
reschedule a visit, click here
to email Provider Relations. Please include your name, contact number, and
National Provider Identifier and Texas Provider Identifier (NPI and TPI) on all
e-mails to ensure they are routed to the correct person.

To submit a paper application, you will need to download the
enrollment forms. You may access online enrollment applications
through the
Provider Enrollment section of this website. The
Contact Center is also available to answer your questions
about completing the application or the status of your
application at 1-800-925-9126

TMHP offers free of charge an online computer based training (CBT) that is
available 24/7 on how to enroll online using the Provider Enrollment on the
Portal (PEP) Computer
Based Training.